| Titre : | Prisoners are at risk for hepatitis C transmission. (2004) |
| Auteurs : | Tony BUTLER ; KALDOR (John) : AUS. National Centre in Hiv Epidemiology and Clinical Research. Sydney. ; Azar KARIMINIA ; Michael LEVY ; Centre for Health Research in Criminal Justice. Sydney. CAN ; University of New South Wales. School of Public Health and Community Medicine. AUS |
| Type de document : | Article |
| Dans : | European journal of epidemiology (vol. 19, n° 12, 2004) |
| Pagination : | 1119-1122 |
| Langues: | Anglais |
| Mots-clés : | Hépatite virale C ; Virose ; Infection ; Toxicomane ; Homme ; Prison ; Toxicomanie ; Australie ; Océanie ; Incidence ; Epidémiologie ; Voie intraveineuse ; Drogue synthèse ; Tatouage ; Appareil digestif [pathologie] ; Foie [pathologie] ; Détenu |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xfpjR8. Diffusion soumise à autorisation]. Objective : Determine the incidence of hepatitis C virus antibodies among a cohort of prisoners. Design : Follow-up study of a random sample of prisoners who participated in a cross-sectional survey in 1996. Setting : 29 correctional centres in New South Wales (Australia). Participants : 181 adult prisoners (163 men and 18 women). Results : The incidence of hepatitis C virus antibody among the 90 inmates who were seronegative at the first test in 1996 was 7.1 per 100 person-years (16 seroconverters). Among the 90 inmates, 37 had re-entered the prison system following release into the community and 53 had been continuously detained. The seroconversion rate was higher among the re-entrants compared with those who had been continuously incarcerated (10.8 vs. 4.5 per 100 person-years, p=0.07). However, when the data was stratified by injecting status, the seroconversion rate in the two groups was similar. Most of the seroconverters had histories of injecting drug users (14/16). The overall incidence among injectors was 19.3 per 100 person years (95% CI : 9.1-29.2). Conclusions : Hepatitis C transmission occurs inside the prison with injecting drug use the likely cause. Among non-injectors, tattooing was the most likely mode of transmission. Harm minimisation measures with proven effectiveness need to be considered for this environment. |
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